NPI | 1356836183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW108128) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW89882) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-25 |
Last Update Date | 2022-05-24 |